Prevalence of Vertebral Pain Syndrome in Women and Men Depending on the Bone Mineral Density
To study the prevalence of vertebral pain syndrome in men and women of older age groups depending on the bone mineral density (BMD) we have examined 1934 people aged 50–89 years, including 1697 women and 237 men. The prevalence of low-back pain was studied depending on the bone health (osteoporosis, osteopenia, normal).
It was found that the prevalence of pain syndrome among older age groups is likely higher in women compared with men (88.3 % (1499/1697) vs 84.8 % (201/237), p = 0.01). In women aged 50–89 years with osteoporosis without low-energy fractures, the incidence of pain in both thoracic and lumbar spine is significantly higher than in women with osteopenia (p = 0.01) and norm (p = 0.02) based on BMD, and compared with men with appropriate state of bone tissue, i.e. osteoporosis (91.8 % (337/367) vs 76.2 % (16/21), p = 0.01).
The prevalence of pain in both thoracic and lumbar spine in women is associated with BMD, and the presence of osteoporosis increases the risk of pain in the thoracic spine (RR = 1.27, 95% CI: 1.12–1.44; p = 0.0001).
In women of older age groups, the presence of low-energy fracture significantly affects the increase in the incidence of pain in the thoracic spine irrespective of BMD.
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